NICHOLAS J SHEPHERD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043118636

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

SHEPHERD

Business Name

NICHOLAS J SHEPHERD

Original Issue Date

03/27/2014

Effective Date

01/15/2019

Expiration Date

01/31/2021

City

BLOOMINGTON

State

Zip

61701

County

WILL

Ever Disciplined

LastModifiedDate

03/11/2021